Active NPI 1013975937 Individual Practitioner Male Practitioner

Dr. Eugene C Kovalik , MD

Specialist • Durham, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Eugene Kovalik, MD is a certified Specialist practicing in Durham, NC. With approximately 39 years of clinical experience since completing medical education in 1987, Dr. Kovalik delivers high-quality medical care to the local community at DUMC BOX 3014.

Dr. Kovalik is affiliated with Duke Health Integrated Practice Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

Dumc Box 3014

Durham, NC 277100001

Telephone 9196606860

Medicare Profile & Education

Medical School

Other

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Durham, NC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +8.8 yrs vs City Avg

City Avg: 30.2 Yrs

State Avg: 35.4 Yrs

Regional Practice Density

44 Specialists

Practicing in Durham, NC (945 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kovalik (39 Years) 39 Yrs

Durham Specialty Average (30.2 Years) 30.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	408	248	$61.00	$15.32
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	372	134	$250.00	$103.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	274	169	$344.00	$130.51
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	242	62	$1092.00	$344.47
90935 Hemodialysis procedure with physician evaluation	142	80	$340.00	$64.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	103	$255.00	$89.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	116	45	$174.00	$73.68
90945 Dialysis procedure including 1 evaluation	114	41	$363.00	$76.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	59	57	$328.00	$115.34
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	37	26	$881.00	$281.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$390.00	$124.50
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$490.00	$169.18
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$243.00	$76.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	258	147	$344.00	$134.34
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	251	67	$1092.00	$337.26
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	229	79	$250.00	$106.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	115	$255.00	$91.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	127	56	$174.00	$74.41
90935 Hemodialysis procedure with physician evaluation	117	67	$340.00	$68.23
90945 Dialysis procedure including 1 evaluation	101	34	$363.00	$68.23
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	60	44	$881.00	$269.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	34	$328.00	$120.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$390.00	$126.91
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$243.00	$78.90
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$490.00	$158.94
90962 Dialysis services, 1 physician visit per month (20 years or older)	13	12	$638.00	$198.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	327	86	$1092.00	$335.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	265	85	$174.00	$67.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	231	131	$344.00	$138.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	220	71	$250.00	$93.56
90935 Hemodialysis procedure with physician evaluation	211	98	$340.00	$68.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	102	$255.00	$91.81
90945 Dialysis procedure including 1 evaluation	96	34	$363.00	$82.17
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	49	36	$881.00	$260.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	44	44	$328.00	$129.57
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	38	38	$490.00	$178.40
99221 Initial hospital inpatient care per day, typically 30 minutes	32	32	$243.00	$96.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$391.85	$131.17
99282 Emergency department visit with straightforward medical decision making	13	13	$145.00	$41.35
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$172.00	$64.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	428	103	$1092.00	$348.91
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	301	111	$250.00	$97.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	292	164	$344.00	$140.99
90935 Hemodialysis procedure with physician evaluation	252	124	$340.00	$68.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	242	90	$174.00	$67.99
90945 Dialysis procedure including 1 evaluation	220	61	$363.00	$83.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	101	$255.00	$94.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	64	63	$329.13	$129.98
99221 Initial hospital inpatient care per day, typically 30 minutes	53	50	$243.64	$94.97
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	53	37	$881.00	$274.61
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	43	43	$490.00	$180.85
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$172.00	$66.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$390.00	$133.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	525	131	$1092.00	$274.33
90935 Hemodialysis procedure with physician evaluation	299	142	$340.00	$70.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	282	156	$255.00	$77.00
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	272	99	$250.00	$101.14
90945 Dialysis procedure including 1 evaluation	243	63	$363.00	$78.30
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	207	97	$174.00	$67.09
99213 Established patient office or other outpatient visit, typically 15 minutes	120	107	$172.00	$49.01
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	75	53	$881.00	$232.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	68	67	$332.24	$125.83
99221 Initial hospital inpatient care per day, typically 30 minutes	59	56	$244.73	$95.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$391.07	$126.53
90962 Dialysis services, 1 physician visit per month (20 years or older)	20	17	$638.00	$181.14
99442 Telephone medical discussion with physician, 11-20 minutes	17	16	$73.00	$50.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	557	127	$1092.00	$268.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	328	165	$255.00	$75.55
90935 Hemodialysis procedure with physician evaluation	317	165	$340.00	$69.70
99213 Established patient office or other outpatient visit, typically 15 minutes	239	186	$172.00	$48.57
90945 Dialysis procedure including 1 evaluation	217	71	$363.00	$82.93
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	208	85	$250.00	$97.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	130	71	$174.00	$66.82
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	77	51	$881.00	$215.75
99221 Initial hospital inpatient care per day, typically 30 minutes	74	70	$244.38	$94.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	66	66	$328.00	$131.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$390.91	$123.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	542	123	$1092.00	$265.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	318	164	$238.80	$75.39
90935 Hemodialysis procedure with physician evaluation	307	159	$340.00	$68.50
90945 Dialysis procedure including 1 evaluation	306	68	$363.00	$76.20
99213 Established patient office or other outpatient visit, typically 15 minutes	247	180	$163.31	$48.66
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	168	72	$240.89	$95.00
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	89	56	$881.00	$209.79
99221 Initial hospital inpatient care per day, typically 30 minutes	68	64	$234.47	$92.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	58	57	$319.47	$129.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$380.55	$120.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	23	$179.74	$61.46
36415 Insertion of needle into vein for collection of blood sample	18	11	$20.33	$2.94
90966 Home dialysis services per month, patient 20 years of age or older	15	13	$872.00	$168.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	530	132	$1092.00	$271.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	335	173	$227.00	$74.55
90935 Hemodialysis procedure with physician evaluation	240	114	$340.00	$65.58
99213 Established patient office or other outpatient visit, typically 15 minutes	235	169	$153.00	$47.80
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	200	89	$233.00	$99.37
90945 Dialysis procedure including 1 evaluation	137	47	$363.00	$80.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	82	79	$309.45	$128.08
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	73	52	$881.00	$223.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$367.00	$125.33
99221 Initial hospital inpatient care per day, typically 30 minutes	46	46	$226.00	$95.58
90937 Hemodialysis procedure requiring repeated evaluation	32	27	$644.00	$94.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	11	$162.00	$69.82

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NC 39001

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

7949810 (NC)

Hospital & Practice Group Affiliations

Duke Health Integrated Practice Inc

40 Duke Medicine Cir, Durham, NC 277104000

Phone: 9196848111

Duke Health Integrated Practice Inc

1234 Huffman Mill Rd, Burlington, NC 272158700

Phone: 9196848111

Duke Health Integrated Practice Inc

2351 Erwin Rd, Durham, NC 277054699

Phone: 9196848111

Duke Health Integrated Practice Inc

2301 Erwin Rd, Durham, NC 277054699

Phone: 9196848111

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Paul Phelan , MD

General Acute Care Hospital - Critical Access

NPI 1104182419

Doctor of Medicine (M.D.)

Dr. John Musgrove , MD

Internal Medicine - Nephrology

NPI 1215355524

Doctor of Medicine (M.D.)

Dr. Christian Cameron , MD, MBI

Internal Medicine - Nephrology

NPI 1245556877

Doctor of Medicine (M.D.), MBI

Chelsea Smith

Student in an Organized Health Care Education/Training Program

NPI 1275220287

Dr. Rebecca Frazier , MD

Internal Medicine - Nephrology

NPI 1457799595

Doctor of Medicine (M.D.)

Kathleen Moreland

Nurse Practitioner

NPI 1841952025

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 26, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location September 26, 2007

Registered at DUMC BOX 3014, DURHAM, NC 277100001 (Tel: 9196606860)

📍

Updated Business Mailing Address September 26, 2007

Registered at DUMC BOX 3014, DURHAM, NC 277100001 (Tel: 9196606860)

👤

Provider Name / Credentials Updated September 26, 2007

Recorded as EUGENE KOVALIK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2007

Specialist (License #39001 in NC)

🟢

Initial NPI Registration & Enumeration May 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013975937

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 02, 2006

Last Update: September 26, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Dumc Box 3014

Durham, NC 277100001

Phone: 9196606860

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.